Individual provider Active NPI

Virginia A Garner, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Barksdale Afb, LA
National Provider Identifier
1063407021
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2157452 Issued in FL
Practice address
243 Curtiss Road, Suite 100
Attn: Credentials, 2 MDG
Barksdale Afb, LA 71110
Phone
(318) 456-6124
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2157452 FL Primary

Addresses

Primary practice location

243 Curtiss Road, Suite 100
Attn: Credentials, 2 MDG
Barksdale Afb, LA 71110

Mailing address

243 Curtiss Road, Suite 100
Attn: Credentials, 2 MDG
Barksdale Afb, LA 71110
Phone (318) 456-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2157452FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1063407021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CURTISS ROAD, SUITE 100",
            "address_2": "ATTN: CREDENTIALS, 2 MDG",
            "city": "BARKSDALE AFB",
            "state": "LA",
            "postal_code": "71110",
            "telephone_number": "318-456-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CURTISS ROAD, SUITE 100",
            "address_2": "ATTN: CREDENTIALS, 2 MDG",
            "city": "BARKSDALE AFB",
            "state": "LA",
            "postal_code": "71110",
            "telephone_number": "318-456-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "RN2157452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barksdale Afb, LA

Sources for this page

Verify at the official NPI Registry.